Benjamin R Clark (NPI# 1063612497, PAC ID# 8729172739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1063612497 |
| PAC ID by PECOS | 8729172739 |
| Professional Enrollment ID | I20070921000348 |
| Full Name | Benjamin R Clark |
| Organization Legal Name | EYE CLINIC OF WISCONSIN, S.C. |
| Address |
800 N 1st St Wausau WI 54403-4754 |
| Phone Number | 7152618500 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9436121829 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3401 Stanley St, Stevens Point, WI 54481-1326 | 7153446544 | EYE CLINIC OF WISCONSIN, S.C. |
| 800 N 1st St, Wausau, WI 54403-4754 | 7152618500 | EYE CLINIC OF WISCONSIN, S.C. |
| Organization Legal Name | EYE CLINIC OF WISCONSIN, S.C. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina L Heck | Optometry | Eye Clinic of Wisconsin, S.c. | 2 E Ocala, Rhinelander, WI 54501-3907 |
| Christopher J Kucharski | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Daniel T Stoehr | Optometry | Eye Clinic of Wisconsin, S.c. | 109 State Hwy 64, Antigo, WI 54409-9201 |
| Thaddeus J Krolicki | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Deepak Sambhara | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Katie J Michalski | Optometry | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Ricky L Scalcucci | Optometry | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Luis Ferdinand Mueller Galang | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Amanda B Hoffmann | Optometry | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Matthew G Hattenhauer | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Street Address |
800 N 1ST ST |
| City | WAUSAU |
| State | WI |
| Zip | 54403-4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Kucharski | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Lauren Nicole Boente | Physician Assistant | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Christi A. Sabatka | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Thaddeus J Krolicki | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Trenton L. Wiseman | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Ashley N Rees | Nurse Practitioner | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Deepak Sambhara | Ophthalmology | Eye Clinic of Wisconsin, S.c. | 800 N 1st St, Wausau, WI 54403-4754 |
| Mary E Perlman | Physical Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Mary B Ditman | Nurse Practitioner | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Philip R Jostes | Occupational Therapy | Springfield Clinic LLP | 800 N 1st St, Springfield, IL 62702-3719 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie A Gilbert | Nurse Practitioner | Interim Hospice and Palliative Care | 805 Parcher St, Wausau, WI 54403-3278 |
| Tonia Y Backman | Clinical Social Worker | Primary Connection Health Care, Inc. | 1810 N 2nd St, Wausau, WI 54403-3492 |
| Tracie L Timm | Nurse Practitioner | Primary Connection Health Care, Inc. | 1810 N 2nd St, Wausau, WI 54403-3492 |
| Barbara V Seiser | Nurse Practitioner | Primary Connection Health Care, Inc. | 1810 N 2nd St, Wausau, WI 54403-3492 |
| Ryan A Gossett | Family Medicine | Primary Connection Health Care, Inc. | 1810 N 2nd St, Wausau, WI 54403-3492 |
| Juelette Higuera | Clinical Social Worker | The Centre for Well Being, Inc. | 901 N 6th St, Wausau, WI 54403-4718 |
| Noreen A Salzman | Clinical Social Worker | The Centre for Well Being, Inc. | 901 N 6th St, Wausau, WI 54403-4718 |
| William J Schmelzer | Psychologist, Clinical | The Centre for Well Being, Inc. | 901 N 6th St, Wausau, WI 54403-4718 |
| Yuni S Aucutt | Clinical Social Worker | The Centre for Well Being, Inc. | 901 N 6th St, Wausau, WI 54403-4718 |
| Michelle L Gleason | Clinical Social Worker | The Centre for Well Being, Inc. | 901 N 6th St, Wausau, WI 54403-4718 |
| Find all physicians in zip 54403 | |||
| City | WAUSAU |
| Zip Code | 54403 |
| Specialty | OPTOMETRY |
| City + Specialty | WAUSAU + OPTOMETRY |
Please comment or provide details below to improve the information on Benjamin R Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.